Thanks for your question.
I would recommend seeing a gastroenterologist, since besides a scan an endoscopy to examine the digestive tract may be required. If it is indeed the spleen that is enlarged than the cause for the enlargement needs to be diagnosed.
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Even though you eat and your stools are normal, still this may be due to gastrointestinal disease such as diverticular disease, inflammatory bowel disease, or irritable bowel syndrome. Only an examination by your doctor and the initial scan will lead to a diagnosis.
It may not be the stomach, however may be due to other parts of the gastrointestinal tract such as colon.
Then it may be the spleen since an enlarged spleen may be palpated by your doctor. Spleen, pancreas, colon, and kidney can all produce abdominal pain at this location. Only further investigations will be helpful for a diagnosis.
Thanks for your reply.
Yes that is a good plan of action.
I would suggest doing the ultrasound first as your plan and then interpretation by your doctor of the results and later to do the CT scan only if advised by your doctor.
In that case seeing a neurologist will be beneficial in diagnosing a neuro-muscular disorder.
Yes it may be muscular pain as well due to muscle spasms. Therefore the results of your ultrasound will clarify whether a specialist is needed and which specialist to consult.
This symptom is not specific to any condition and may occur both when there is any gastrointestinal pathology as well as in neuromuscular conditions.
Unfortunately though the description of your symptom does sound that it is a musculoskeletal problem, however based on the symptom specific diagnosis is not possible and only further investigations can rule out other causes for this symptom.
Only the results of the investigation will confirm your intuition.
No I am not a neurologist. I am a general physician. I have worked under neurologists and have had many months of neurology postings. I have seen many cases with symptoms similar to yours and though a history and physical examination is beneficial ultimately treatment is given based on the results of the investigation.
That is one possible causative factor for the pain out of the many causes that I have listed before.